Relationships between esophageal speech proficiency and surgical, biographical, and social factors

Frith, Charlotte; Buffalo, M.D.; Montague, James C.

doi:10.1016/0021-9924(85)90034-6

Cited by 18 publications

(15 citation statements)

References 8 publications

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“…Patients with previous neck dissection may have damaged lingual and pharyngeal branches of the vagus, hypoglossus, and accessory nerves, resulting in a weak tongue that may be ineffective at gulping air via the injection method, in turn creating difficulty in voicing. It has been reported that extensive surgery such as radical neck dissection does not affect ES . The aforementioned nerves were preserved surgically, and 68% of our cases succeeded in ES.…”

Section: Discussionmentioning

confidence: 58%

“…In addition, patients often consider ES to be complex and tiresome and may leave the program too early . Factors affecting EST include the patient's personality, speech level prior to the operation, motivation, determination, psychological state, desire for training, limited voice therapy facilities, age, self‐confidence, family support, mental state, the ability to learn, the voice therapist's ability to teach, the level of surgery, the existence of RT history, the existence of esophageal motility disorder, and pressure on the pharyngoesophageal segment . In this study, 78% of subjects attended all sessions, which is a remarkable rate of attendance and reflects the motivation of the subjects and the therapy team.…”

Section: Discussionmentioning

confidence: 79%

“…However, no statistically significant difference between groups was observed in terms of ES proficiency. Previous studies share the idea that the most significant factors affecting EST are the patient's psychological state, desire for training, determination, and effort . Because only 18 cases were subjected to RT, no data regarding the effect of RT on EST was obtained.…”

Section: Discussionmentioning

confidence: 99%

“…It was found that age, educational background, chemotherapy experience, and the duration between operation and EST did not have any significant effect on EST. These results are similar to the results of studies by Keith et al ., Singer et al ., and Frith et al . The competence and effectiveness of members in the multidisciplinary rehabilitation team directly affects the acquisition of ES .…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies share the idea that the most significant factors affecting EST are the patient's psychological state, desire for training, determination, and effort. [15][16][17] Because only 18 cases were subjected to RT, no data regarding the effect of RT on EST was obtained. It was found that age, educational background, chemotherapy experience, and the duration between operation and EST did not have any significant effect on EST.…”

Section: Discussionmentioning

confidence: 99%

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Novel esophageal speech therapy method in total laryngectomized patients: biofeedback by intraesophageal impedance

et al. 2014

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The loss of the best communication port after total laryngectomy surgery makes speech rehabilitation an important goal. Our aim was to improve the quality of esophageal speech (ES) using online esophageal multichannel intra-luminal impedance (MII) as a new biofeedback method. Twenty-six total laryngectomized patients were included. Before ES therapy, an esophageal motility test was carried out. MII catheters were placed in all subjects who were then randomized into two groups. Group 1 included 13 cases, who were retrained according to the classical method. Group 2 included 13 cases, who were retrained according to the simplified animation of air movements within the esophagus and upper stomach resulting from the modifications of intra-esophageal air kinetics gained by MII. The level of speech proficiency was evaluated relative to pretraining levels using perceptual scales in the third and sixth months. Acoustic voice was analyzed. The number of syllables read per minute and the intelligibility of monosyllabic and dissyllabic words were calculated. In this study, MII was used for the first time in alaryngeal speech rehabilitation as a biofeedback method; an overall sufficient speech level was achieved by 68.4% at the end of therapy, whereas attendance was 90%. A statistically significant improvement was found in both groups in terms of ES level compared with the pretraining period although there was no significant difference between groups. Although we did not observe the expected difference between groups suggested by our hypothesis, MII may be used as an objective tool to show patients how to swallow and regurgitate air during training, and may thus expedite ES therapy both for the speech therapist and the patient in the future.

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Section: Discussionmentioning

confidence: 58%

Section: Discussionmentioning

confidence: 79%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Novel esophageal speech therapy method in total laryngectomized patients: biofeedback by intraesophageal impedance

et al. 2014

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Motivation as a predictor of speech intelligibility after total laryngectomy

et al. 2012

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Patterns of alaryngeal voice adoption and predictive factors of vocal rehabilitation failure following total laryngectomy

Landry,

Christopoulos,

Guertin

et al. 2023

Head & Neck

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ObjectiveWe aimed to determine patterns of alaryngeal voice acquisition and predictive factors of vocal rehabilitation (VR) failure following total laryngectomy (TL) at a large Canadian tertiary care center.MethodsAll consecutive patients having undergone a TL between January 1st, 2011 and December 31st, 2019, at the Centre Hospitalier de l'Université de Montréal were included.ResultsOne hundred and ninety‐seven laryngectomized patients were identified. Successful VR was achieved in 86 (59.0%) patients, while 59 (41.0%) failed to use a method of alaryngeal voice as their principal means of communication at 1 year postoperatively. The use of tracheoesophageal puncture (TEP) was associated with higher VR success rates (70.6%) when compared with the artificial larynx (48.6%), and esophageal voice (18.8%). The only independent predictor of VR failure on multivariate analysis at all time points was a low socioeconomic status.ConclusionFailure to adopt an alaryngeal voice following TL is highly prevalent, despite comprehensive and free speech language pathologist services being offered at our center. A low resort to TEP at our institution and a poor acceptability and accessibility of alternative VR methods may contribute to this trend. The challenges of VR may be further exacerbated by the barriers linked to a lower socioeconomic status, which in turn may contribute to reduced candidacy for TEP.

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Relationships between esophageal speech proficiency and surgical, biographical, and social factors

Cited by 18 publications

References 8 publications

Novel esophageal speech therapy method in total laryngectomized patients: biofeedback by intraesophageal impedance

Novel esophageal speech therapy method in total laryngectomized patients: biofeedback by intraesophageal impedance

Motivation as a predictor of speech intelligibility after total laryngectomy

Patterns of alaryngeal voice adoption and predictive factors of vocal rehabilitation failure following total laryngectomy

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